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Sökning: (WFRF:(Soininen H)) pers:(Tuomilehto J.) > (2020-2023) > Associations of Dep...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00003147naa a2200421 4500
001oai:prod.swepub.kib.ki.se:149047815
003SwePub
008240913s2022 | |||||||||||000 ||eng|
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:1490478152 URI
024a https://doi.org/10.3390/jcm110514492 DOI
040 a (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Neuvonen, E4 aut
2451 0a Associations of Depressive Symptoms and Cognition in the FINGER Trial: A Secondary Analysis of a Randomised Clinical Trial
264 c 2022-03-07
264 1b MDPI AG,c 2022
520 a Depression and cognition are associated, but the role of depressive symptoms in lifestyle interventions to prevent dementia needs further study. We investigated the intervention effect on depressive symptoms and their associations with cognition in the Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability (FINGER; NCT01041989), a two-year multidomain lifestyle trial. One thousand two-hundred and sixty individuals (60–77 years) at risk for dementia were randomised into a multidomain intervention (diet, exercise, cognitive training, and vascular/metabolic risk monitoring) or control group (regular health advice). Depressive symptoms (Zung scale) and cognition (modified Neuropsychological Test Battery) were evaluated at baseline, 12, and 24 months. One thousand one-hundred and twenty-five participants had baseline Zung data. Mean Zung score decreased 0.73 (SD 5.6) points in the intervention and 0.36 (5.6) points in the control group, with nonsignificant between-group difference (group × time coefficient −0.006, 95% CI −0.019 to 0.007). Overall, higher baseline Zung score was associated with less improvement in global cognition (−0.140, p = 0.005) and memory (−0.231, p = 0.005). Participants with clinically significant baseline depressive symptoms (Zung ≥ 40 points) had less intervention benefit to executive functioning (group × time × Zung −0.096, 95% CI −0.163 to −0.028). Change in Zung score was not associated with change in cognition. Clinically significant depressive symptoms warrant more attention when designing dementia-prevention interventions.
700a Lehtisalo, J4 aut
700a Ngandu, Tu Karolinska Institutet4 aut
700a Levalahti, E4 aut
700a Antikainen, R4 aut
700a Hanninen, T4 aut
700a Laatikainen, T4 aut
700a Lindstrom, J4 aut
700a Paajanen, T4 aut
700a Soininen, H4 aut
700a Strandberg, T4 aut
700a Tuomilehto, J4 aut
700a Kivipelto, Mu Karolinska Institutet4 aut
700a Solomon, Au Karolinska Institutet4 aut
710a Karolinska Institutet4 org
773t Journal of clinical medicined : MDPI AGg 11:5q 11:5x 2077-0383
856u https://www.mdpi.com/2077-0383/11/5/1449/pdf
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:149047815
8564 8u https://doi.org/10.3390/jcm11051449

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